Institutional Request to Copy an Unpublished Thesis for Research & Study

Please complete all sections of the form. A separate form is required for each thesis copy request.

To:

Document Delivery, The University of Sydney Library

Please supply a copy of the following thesis
in accordance with the By-laws of the University of Sydney, Higher Degree
Theses and the Copyright Act 1968

Date

Order Number

Library Details

Name

Address

Contact Number

Email Address

Thesis Information

Author

Title

Degree

Date conferred

Copyright Declaration

Please sign the option which applies to your circumstances

SECTION 200AB:
I declare that I require a copy of the above stated unpublished thesis for inclusion into the above stated Library's collection. It shall be used inline with the provisions of the Copyright Act 1968 (Cth)

PART VB STATUTORY LICENSE DECLARATION:
I declare that I require a copy of the above stated unpublished thesis for use at the above stated institution for educational purposes under Part VB statutory licence of which my institution is a signatory. I declare that I am aware of the notice, acknowledging and registration requirements of using material under this provision.

This information is required for copyright administration and ordering purposes and as such all fields are compulsory. Supplied information will be held secure and will not be disclosed for any other purpose than the above stated.